| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
1,218 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
565 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
61 |
$5K |
| 80061 |
Lipid panel |
142 |
142 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
77 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
105 |
$1K |
| 90686 |
|
28 |
28 |
$840.00 |
| 85027 |
|
25 |
25 |
$222.75 |
| 82565 |
|
12 |
12 |
$84.84 |